作者报告手术治疗肌肉海绵状血管瘤２７８例，占同期各种类型血管瘤的２０．３％，手术优良率８８．１％。发生于３０岁以下青少年占９２％。８３．６％发生在肌肉发达的臀部、下肢和上肢。血管造影能确切的显示病变的范围、程度及与周围组织的关系，对手术方案的设计具有指导意义，也是术后效果评价的指标。常用造影方法有静脉造影、动脉造影、局部穿刺造影和骨髓静脉造影。作者认为：手术是治疗本病的首选方法并主张早期手术。 The authors reported that 278 cases of muscle cavernous hemangioma were treated surgically, accounting for 20.3% of all types of hemangiomas during the same period, and the excellent rate of surgery was 88.1%. 92% of young people under 30 years of age. 83.6% occurred in the muscular buttocks, lower limbs and upper limbs. Angiography can accurately show the extent and extent of the lesion and the relationship with the surrounding tissue. It has guiding significance for the design of the surgical plan, and it is also an indicator of postoperative effect evaluation. Common imaging methods include venography, arteriography, local puncture and bone marrow venography. The author believes that surgery is the preferred method of treating this disease and advocates early surgery.